ARE YOU READY TO INVEST IN YOURSELF…

Interested In Counseling?
If you are not certain, please list what you feel would be the most important primary service to start with. The intake coordinator will support you during the scheduling process.
Please check multiple age boxes if needed. Please only add information you are comfortable sharing. This is not a HIPAA compliant form. The completion of the form does not establish a counselor and client relationship. ​If you're experiencing a crisis that can't wait, please first contact 911 or go directly to your nearest emergency department.
Your response aims to help us improve our quality of care
We promise not to spam you